NPI | 1760264717 |
---|---|
Doing Business As | PRIMECARE ADULT & SENIOR HEALTH |
Entity Type | Organization |
Authorized Contact | LAKESHA M ADDISON-HARRIS Nurse Practitioner 443-867-8935 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-10-16 |
Last Update Date | 2023-10-16 |